Gene expression-based survival prediction in lung adenocarcinoma: A multi-site, blinded validation study Journal Article


Authors: Shedden, K.; Taylor, J. M. G.; Enkemann, S. A.; Tsao, M. S.; Yeatman, T. J.; Gerald, W. L.; Eschrich, S.; Jurisica, I.; Giordano, T. J.; Misek, D. E.; Chang, A. C.; Zhu, C. Q.; Strumpf, D.; Hanash, S.; Shepherd, F. A.; Ding, K.; Seymour, L.; Naoki, K.; Pennell, N.; Weir, B.; Verhaak, R.; Ladd-Acosta, C.; Golub, T.; Gruidl, M.; Sharma, A.; Szoke, J.; Zakowski, M.; Rusch, V.; Kris, M.; Viale, A.; Motoi, N.; Travis, W.; Conley, B.; Seshan, V. E.; Meyerson, M.; Kuick, R.; Dobbin, K. K.; Lively, T.; Jacobson, J. W.; Beer, D. G.
Article Title: Gene expression-based survival prediction in lung adenocarcinoma: A multi-site, blinded validation study
Abstract: Although prognostic gene expression signatures for survival in early-stage lung cancer have been proposed, for clinical application, it is critical to establish their performance across different subject populations and in different laboratories. Here we report a large, training-testing, multi-site, blinded validation study to characterize the performance of several prognostic models based on gene expression for 442 lung adenocarcinomas. The hypotheses proposed examined whether microarray measurements of gene expression either alone or combined with basic clinical covariates (stage, age, sex) could be used to predict overall survival in lung cancer subjects. Several models examined produced risk scores that substantially correlated with actual subject outcome. Most methods performed better with clinical data, supporting the combined use of clinical and molecular information when building prognostic models for early-stage lung cancer. This study also provides the largest available set of microarray data with extensive pathological and clinical annotation for lung adenocarcinomas. © 2008 Nature Publishing Group.
Keywords: treatment outcome; major clinical study; overall survival; cancer staging; adenocarcinoma; gene expression; gene expression profiling; lung neoplasms; validation study; algorithms; risk factor; risk; gene expression regulation, neoplastic; lung adenocarcinoma; microarray analysis; oligonucleotide array sequence analysis; models, statistical; roc curve
Journal Title: Nature Medicine
Volume: 14
Issue: 8
ISSN: 1078-8956
Publisher: Nature Publishing Group  
Date Published: 2008-08-01
Start Page: 822
End Page: 827
Language: English
DOI: 10.1038/nm.1790
PUBMED: 18641660
PROVIDER: scopus
PMCID: PMC2667337
DOI/URL:
Notes: --- - "Cited By (since 1996): 162" - "Export Date: 17 November 2011" - "CODEN: NAMEF" - "Source: Scopus"
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  1. Janos Szoke
    17 Szoke
  2. Noriko Motoi
    25 Motoi
  3. Valerie W Rusch
    864 Rusch
  4. William L Gerald
    375 Gerald
  5. William D Travis
    743 Travis
  6. Maureen F Zakowski
    289 Zakowski
  7. Agnes Viale
    245 Viale
  8. Mark Kris
    869 Kris